Maryland Insurance Section 15-819

Article - Insurance

§ 15-819.

      (a)      This section applies to:

            (1)      each individual, group, or blanket health insurance policy that is issued or delivered in the State by an insurer; and

            (2)      each contract or certificate that is issued or delivered in the State by a nonprofit health service plan.

      (b)      A policy, contract, or certificate subject to this section that provides coverage for an inpatient service in an acute general hospital shall provide coverage for:

            (1)      a corresponding outpatient service that is provided to the insured instead of the inpatient service because of the denial, after review under a utilization review program, of a request by the attending physician for an inpatient admission; and

            (2)      an objective second opinion given to the insured when required by a utilization review program under § 19-319 of the Health - General Article.



This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.